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Fillers or Botox for Lines Showing Only when Laughing or Smiling?
asked 2 years ago by arnj in los angeles
Latest answer by Debra Irizarry, MD
Question viewed 1,906 times
Tags: face, laugh lines
14 answers to Fillers or Botox for Lines Showing Only when Laughing or Smiling?
+2
Botox and fillers for lines with animation
Botox is great for lines on your forehead and around your eyes whenever you laugh or animate these areas. However, if you use fillers for lines that only occur with animation, you may be able to see small bumps when you aren't moving those parts of your face. Check out some before and after pictures before trying either one.
+2
Why do you want to eliminate your smile lines?
Dear Arnj
I really don't blame you for thinking that you should have your smile lines eliminated. I think that we doctors are responsible for this type of thinking. After all, many doctors think that the purpose of BOTOX is to eliminate lines. In fact some use as their before and after picture an image of their patient wadding up the worry line area before BOTOX treatment and then being unable to make this wadding effort after treatment.
This is really a misguided concept of what this...
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+1
Fillers are for "resting wrinkles", Botox softens "active" ones.
If you only see the lines/wrinkles when you are moving the muscles of your face, then weakening the muscles should soften the wrinkles...You do not say where the "laugh lines" that you want addressed are- if they are around your eyes, Botox or Dysport is appropriate, if they are around your mouth, like the nasolabial folds, then Botox is not appropriate, (it would paralyze your smile), and in this location fillers are the way to go.
Debra Irizarry, MD
Crestone Plastic Surgeon
Crestone Plastic Surgeon
+1
Botox or Fillers for Lines When Smiling?
Hi ARNJ. The answer to your question about which product to use for your lines is dependent on the area of the face you are concerned with rather than whether or not you see the lines while you are smiling and laughing.
If you are concerned about the lines that run vertically from the corner of your nose to the corner of your mouth, then this is an area to consider Radiesse or one the HA dermal fillers like Restylane, Juvederm or Perlane.
If the area you are...
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+1
Treatment of laugh lines
If you are referring to the lines near the lower crow’s feet that are noticable when you smile, Botox can help only a little as the doctor doesn’t want to make your mouth muscles go to sleep and create problems eating and with speech. Fillers may look too noticable here. A combination of conservative amounts of Botox and resurfacing, such as with Fraxel, may help but this is an area that many people just have to accept creases when they smile.
+1
Botox or Filler
In general I, botox is used for areas around the eyes and between the eyes and the forehead. There are some exceptions as botox can be used for neck banding and the lines around the lips.
As far as laugh lines or the lines around the corner of the mouth or the marrionette lines, the best treatment is to fill the lines with a filler like Restylane, Juvederm, Perlane or Radiesse. When I say the laugh lines, I mean the nasolabial fold.
Hope that answers your questions.
Farbod Esmailian, MD
Orange County Plastic Surgeon
Orange County Plastic Surgeon
+1
Maybe Nothing At All
If you see these lines only when laughing or smiling you may not need them treated at all. I would only bother treating lines you see at rest. You do want some dynamism of your face, smiling and laughing are good things. I would wait until you begin to notice lines at rest and in the meantime practice good skin care.
Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
Virginia Beach Dermatologist
+1
Botox or Fillers for Laugh Lines?
Hi Arnj,
Botox should be used for facial lines in the upper 1/3 of the face (forehead, crow's feet, bunny lines on the upper nose) that appear with facial expression and muscle movement.
For "laugh lines" from the nose to the mouth (nasolabial folds, lines), fillers such as Juvederm, Restylane, or Evolence are best used.
Choose your injecting physician carefully.
Good luck and be well.
Dr. P
+1
Fillers or Botox for dynamic lines
It would depend WHERE the lines are and HOW DEEP they are.
If by laugh lines you refer to the crow's feet lines just to the side of the corners of the eyes - Botox does a GREAT job on smoothing these. Fillers would be needed only after you saw the extent of smoothing obtained by Botox (not commonly needed).
If on the other hand, you refer to the lines between the corners of the nose and corners of the mouth (nasolabial folds) or other perioral lines, I would use Botox very sparingly and...
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+1
Fillers for Laugh Lines
Laugh lines that form around the mouth when you smile are best treated with a filler as opposed to botox or dysport. Botox or dysport are best for expression lines in the upper face. If used for the laugh lines around the mouth, it can cause an unfavorable change in expression and in some way an inability to smile normally.
+1
Botox best for laugh lines
In general, lines that appear only with expression are caused by the muscles of expression, so relaxing them with Botox or Dysport is typically the first option. However, it depends on exactly what lines you are talking about. Botox is usually better for upper face, fillers such as Juvederm, Rstylane, or Evolence for lower face. These are guidelines, not absolute rules of course.
+1
Laugh lines
I am an advocate for fillers for these lines versus Botox or dysport. I generally do not use botox for laugh lines at all and feel that fillers are the most appropriate choice. It should be noted however that static lines (ie those that dont move with muscular attachments) tend to show better results from fillers versus dynamic smile lines (ie those lines created upon smiling)
+1
Laugh lines
Laugh lines can be several things. If they are crow's feet than Botox is the answer. If the nasolabial folds are augmented with laughing, then fillers such as Juvederm or restylane can be used.
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